Search

We report the case of a preterm infant referred to us for retinopathy of prematurity (ROP) screening at postmenstrual age of 35 weeks who presented with right-sided congenital lower motor neuron type facial nerve palsy, lagophthalmos, normal anterior segment findings, and aggressive posterior ROP on the fundus examination in both eyes. Right-sided microtia, normal left ear, and asymmetric crying facies were noted. The baby received intravitreal bevacizumab 0.625 mg in both eyes after systemic workup which revealed a ventricular septal defect with patent ductus arteriosus and normal brain magnetic resonance imaging. At 2 months postinjection, the plus disease decreased significantly with vessels developing up to zone 3 with no ROP in both the eyes.

Systemic lupus erythematosus (SLE) is a systemic disease with multiorgan involvement including eyes. We report a 37-year-old female, a known SLE case for 4 years, who came to our clinic to screen for hydroxychloroquine toxicity. Fundus showed changes of ischemic retinopathy, confirmed on optical coherence tomography angiography and fundus fluorescein angiography. Our case illustrates the importance of multimodal imaging and its correlation with systemic disease activity in SLE patients.

A 55-year-old female presented with a defective vision since childhood. The fundus examination revealed a well-demarcated macular excavation of 2 1/2 disc diameters. Optical coherence tomography (OCT) of both eyes revealed a bowl-like depression at the macula, absence of retinal pigment epithelium, and choroid with atrophic neurosensory retina. She was diagnosed as a case of bilateral macular coloboma. We wish to stress OCT and multimodal imaging's importance to diagnose macular colobomas and differentiate it from other disorders of the macula.

Retinal hemangioblastoma is a rare benign retinal vascular tumor that occurs sporadically or in association with von Hippel-Lindau (VHL) disease. If associated with VHL, it can be multiple and/or bilateral. All retinal hemangioblastoma cases should be investigated for the presence of associated tumors such as central nervous system hemangiomas and visceral abdominal tumors. Herewith, we report a case of solitary capillary hemangioma in a young male.